iPad Giveaway

Please fill out the information below to register your school for the iPad Giveaway.

Do you currently provide school issued laptops for students/faculty at your school?

Yes

If yes, how many laptops?

What is the value of each laptop? $

Are they for students, teachers or both?

If applicable, when does your laptop insurance renew?

If applicable, what company currently insures your school issued laptops?

Do you issue other electronic devices in addition to laptops (ex: iPods, cameras, etc.)?

Would you like to receive a price quote for laptop insurance?

Yes!

No, thank you.

School Contact Information

Information should be for the individual responsible for laptops.

Name

Title

School Name

Address

City

State

Zip Code

Phone

Worth Ave. Group | P.O. Box 2077 | Stillwater OK 74076 | 1-800-620-2885

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